Individual
DAKOTA TY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5860 RANCH LAKE BLVD STE 200, BRADENTON, FL 34202-3719
(941) 388-8997
(941) 306-5876
Mailing address
5860 RANCH LAKE BLVD STE 200, BRADENTON, FL 34202-3719
(941) 388-8997
(941) 306-5876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9393002
FL
Other
Enumeration date
07/23/2018
Last updated
01/05/2022
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